Organization
WASHINGTON COUNTY AMBULANCE
Active
Other names
Washington County Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY M TRUETTE (SUPERVISOR)
(850) 638-9162
Entity
Organization
Contact information
Practice address
818 3RD ST, CHIPLEY, FL 32428-1852
(850) 638-9162
(850) 415-6076
Mailing address
818 3RD ST, CHIPLEY, FL 32428-1852
(850) 638-9162
(850) 415-6076
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400102800
—
FL
01
—
A0187
BLUE CROSS
FL
Enumeration date
04/11/2007
Last updated
08/22/2008
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